Predicting Post-Traumatic Headache After a Motor Vehicle Collision
- RRS Education
Post-traumatic headache (PTH) has been defined as a new headache, or worsening of a pre-existing headache, that begins within seven days after head injury, whiplash, craniotomy, or regaining of consciousness following trauma. PTH is associated with mild traumatic brain injury (MTBI) and whiplash-associated disorders (WAD), which affect approximately 600 per 100,000 persons annually.
MTBI and WAD may lead to post-concussion symptoms (PCS), of which PTH is the most common symptom. Studies have shown that 30% of persons with PTH have persistent symptoms for up to one-year post-injury.
Even though PTH is fairly common, very little is known about its prognostic factors. Thus, the objective of this study was to develop and validate a prediction model for reporting PTH six months following a motor vehicle collision (MVC) in adults who reported PTH during their initial interview.
This information can help inform us regarding the type of information we should be collecting from these patients, so we can identify those at risk of PTH early in the course of care...LOG IN OR SUBSCRIBE TO ACCESS THIS REVIEW
THIS WEEK'S RESEARCH REVIEW: “Predicting Post-Traumatic Headache After a Motor Vehicle Collision”
This paper was published in Accident Analysis & Prevention (2020) and this Review is posted in Recent Reviews, Whiplash & Motor Vehicle Collisions, Headache - General and the 2020 Archive.
The multivariable analysis produced a prediction model that included 12 predictor variables, with eight of them found to be useful in predicting PTH, including:
- Work status
- Headache pain intensity
- Symptoms in arms or hands
- Dizziness or unsteadiness
- Stiffness in neck
- Pre-existing headache
- Lower recovery expectations